metastatic biliary tract cancers
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pathologically diagnosed biliary tract cancers -bile duct cancer, gall bladder cancer or ampulla cancer of duodenum. 2. Primary tumor is not curatively resectable or metastatic lesion is not curatively resectable. 3. Patient, obtains measurable lesions. 4. Patient, has no previous treatments other than surgery. Previous treatments include artery-infusional chemotherapy and postoperative adjuvant chemotherapy. 5. older than 19 years. 6. PS=0, 1 or 2 (ECOG). 7. Oral intake is possible. 8. Major organ functions, such as bone marrow, heart, liver, kidney, are obtained, as follows (data within 14 days before trial registration) WBC>=3500/microL and <=10000/microL platelets>=100000/microL lymphocytes>=1000/microL GOT(AST)<=100IU/L GPT(ALT)<=100IU/L T-Bilirubin<=2.0mg/dL (<=3.0mg/dL cases with biliary drainage) creatinine<=1.2mg/dL CCR>=50mi/min (Cockcroft-Gault) 9. Patients expected to live more than three months 10. Documented informed consent
Exclusion criteria
Exclusion criteria: Patients -obtains previous radiation therapy for biliary tract cancers. -obtains brain metastasis not manipulated. -obtains active duplicated neoplastic diseases. -obtains co-morbidity as follows; intestinal paralysis, intestinal obstruction, diabetes mellitus, hypertension, angina pectoris, livet cirrhosis, pneumonitis, emphysema. -is HIV-positiveness -has past history of severe allergic reaction for gemcitabine, cisplatin, or TS-1. -obtains ascites or pleural effusion that needs treatment. -has severe diarrhea or GI bleeding. -has treatment by frucitosine -is pregnat or can be pregnant. -desires partners pregnancy. -has HLA-A genotype opened.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival | — |
Secondary
| Measure | Time frame |
|---|---|
| DCR, RR, PFS, AE, immunological reactions (CTL, CD8, regT) | — |
Countries
Japan
Contacts
Tohoku University Graduate School of Medicine Tohoku University Cancer Center